Long-Term Dislocation of the Mandible: Is there an Algorithm to Success? Intraoperative Decision and Review of Literature

Llano, Alberto Cuevas Queipo de; Gil, Florencio Monje; González-García, Raúl; Alcojol, Laura Villanueva; Ballester, David González

doi:10.1007/s12663-019-01312-y

Cited by 1 publication

(2 citation statements)

References 14 publications

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“…In this case, fibrous tissue will probably be observed in the articular layer replacing the fibrocartilage. 8 The aim of treating long-standing TMJ dislocation is to reduce the condyle, obtain appropriate function, balance facial conditions and stable oral rehabilitation to avoid relapse and complications. 8 For this reason, TMJ replacement was the choice in this case.…”

Section: Discussionmentioning

confidence: 99%

“…8 The aim of treating long-standing TMJ dislocation is to reduce the condyle, obtain appropriate function, balance facial conditions and stable oral rehabilitation to avoid relapse and complications. 8 For this reason, TMJ replacement was the choice in this case. In the initial stage of long-standing TMJ dislocation, eminectomy, 4 condilectomy 8 and discectomy 7 can be considered.…”

Section: Discussionmentioning

confidence: 99%

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TMJ Replacement Following Pseudoarthrosis of Condylar Neck Fracture With Dislocation of the Condylar Neck Within the Infra-Temporal Fossa

Olate

Huentequeo-Molina

Unibazo³

et al. 2021

Craniomaxillofacial Trauma & Reconstruction Open

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Study Design: Case Report Objective: To present a patient with long-standing TMJ dislocation and pseudoarthrosis in the temporal bone treated with orthognathic surgery and unilateral joint replacement. Method: The patient, a 52-year-old female, came to our department to treat facial asymmetry and oral rehabilitation. The patient reported early facial trauma at 7 years old showing partial edentoulism, dental occlusion class III and a 19 mm mandibular midline deviation. Cone beam computed tomography showed the left TMJ in long-standing dislocation into the fossa temporalis, creating a new articular fossa in the temporal bone and adaptation of the hard and soft tissue. Results: Orthognathic surgery and TMJ replacement using a patient-specific implant and dental rehabilitation were planned; surgery was performed with no complications, and the 1-year follow-up showed that this treatment was a good option for long-standing TMJ dislocation. Conclusion: The long-term TMJ dislocation can be successfully treated by TMJ replacement using a patient-specific implant to obtain facial balance and oral function and avoid relapse.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%